Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) Score
Fractures at the thoracolumbar region are commonly followed after major traumatic injuries, and up to 20% of these fractures are known to be burst fractures. Making surgical decisions for these patients are of great interest however there is no golden standard so far. Since the introduction of Thora...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2018-08-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-31-076.pdf |
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| author | Woo-Keun Kwon Jong-Keon Oh Jun-Min Cho Taek-Hyun Kwon Youn-Kwan Park Hong Joo Moon Joo Han Kim |
| author_facet | Woo-Keun Kwon Jong-Keon Oh Jun-Min Cho Taek-Hyun Kwon Youn-Kwan Park Hong Joo Moon Joo Han Kim |
| author_sort | Woo-Keun Kwon |
| collection | DOAJ |
| description | Fractures at the thoracolumbar region are commonly followed after major traumatic injuries, and up to 20% of these fractures are known to be burst fractures. Making surgical decisions for these patients are of great interest however there is no golden standard so far. Since the introduction of Thoracolumbar Injury Classification and Severity (TLICS) score in 2007, it has been widely used as a referential guideline for making surgical decisions in thoracolumbar fractures. However, there is still limitations in this system. In this clinical case report, we introduce a L1 burst fracture after motor vehicle injury, who was successfully treated conservatively even while she was graded as a TLICS 5 injury. A case report is presented as well as discussion on the limitations of this grading system. |
| format | Article |
| id | doaj-art-7502f0a469184e42a4ff3b85b981ed6d |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2018-08-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-7502f0a469184e42a4ff3b85b981ed6d2025-01-06T01:07:59ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832018-08-01312768110.20408/jti.2018.31.2.76953Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) ScoreWoo-Keun Kwon0Jong-Keon Oh1Jun-Min Cho2Taek-Hyun Kwon3Youn-Kwan Park4Hong Joo Moon5Joo Han Kim6 Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Focused Training Center for Trauma, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Focused Training Center for Trauma, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, KoreaFractures at the thoracolumbar region are commonly followed after major traumatic injuries, and up to 20% of these fractures are known to be burst fractures. Making surgical decisions for these patients are of great interest however there is no golden standard so far. Since the introduction of Thoracolumbar Injury Classification and Severity (TLICS) score in 2007, it has been widely used as a referential guideline for making surgical decisions in thoracolumbar fractures. However, there is still limitations in this system. In this clinical case report, we introduce a L1 burst fracture after motor vehicle injury, who was successfully treated conservatively even while she was graded as a TLICS 5 injury. A case report is presented as well as discussion on the limitations of this grading system.http://www.jtraumainj.org/upload/pdf/jti-31-076.pdfspineinjuriestrauma severity indices |
| spellingShingle | Woo-Keun Kwon Jong-Keon Oh Jun-Min Cho Taek-Hyun Kwon Youn-Kwan Park Hong Joo Moon Joo Han Kim Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) Score Journal of Trauma and Injury spine injuries trauma severity indices |
| title | Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) Score |
| title_full | Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) Score |
| title_fullStr | Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) Score |
| title_full_unstemmed | Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) Score |
| title_short | Non-Operatively Treated Thoracolumbar Burst Fracture with Posterior Ligamentous Complex Injury: Case Report and Consideration on the Limitation of Thoracolumbar Injury Classification and Severity (TLICS) Score |
| title_sort | non operatively treated thoracolumbar burst fracture with posterior ligamentous complex injury case report and consideration on the limitation of thoracolumbar injury classification and severity tlics score |
| topic | spine injuries trauma severity indices |
| url | http://www.jtraumainj.org/upload/pdf/jti-31-076.pdf |
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